HomeMy WebLinkAbout08-14-12 (3)SUPPLEMENTAL
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA i
COUNTY OF CUMBERLAND f SS
File Number 2011-0656
Personal Representative(s) of the Estate of Mary Jane Slike
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever situate
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real estate outside of the
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inven ry,
s
I verify that the statements made in this Inven- L;
tory are true and correct. I understand that false state-
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities. n ~
Attorney --
John E. Slike
(Supreme Court LD. No.) 6262
i Saidis, Sullivan & Ro;
12th Street, Suite 400, Lemoyne, PA 17043
(Telephone) 717-612-5800
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. NO.
May 19, 2011 5225 Wilson Lane, Mechanicsburg, PA 17055 203-20-1871
FIGURES MUST BE TOTALED
100 shs Microsoft Corporation 2,469.00
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(Attach additional sheets as needed)
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2,469.00
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include the value of each
item, but such figures should not be extended into the total of the Inventory. (See 10 Pa. C.S. ,¢ 3301(b))
Form R W-09 rev. /0.13.06